Bariatric Surgery Candidate
Conditions
Brief summary
Sleeve gastrectomy may affect drug pharmacokinetics in several potential ways. We will measure pharmakokinetics of paracetamol and antiepileptic drugs before and 6 months after sleeve gastrectomy.
Detailed description
Sleeve gastrectomy may affect drug pharmacokinetics in several potential ways. We will measure pharmakokinetics of paracetamol (in consenting subjects that are undergoing sleeve gastrectomy) and antiepileptic drugs (in consenting subjects that are chronically treated by a stable dose) before and 6 months after sleeve gastrectomy in 10 subjects. Blood tests will be taken for drug levels before and 4-8 times after the subject takes the drug. A pharmacokinetic curve will be calculated and compared for each subject between prior to surgery and after surgery.
Interventions
single dose of 1 gr paracetamol
Single dose of antiepileptic drug (either carbamazepine, lamotrigine, phenytoin or valproic acid) for which the participant is taking chronically in stable dose
Sponsors
Study design
Intervention model description
All participants will undergo blood tests for pharmacokinetic of paracetamol before and 6 months after sleeve gastrectomy
Eligibility
Inclusion criteria
1. BMI over 30 and eligible for sleeve gastrectomy 2. Mentally capable for consent 3. (for the antiepileptic drug intervention) chronic stable treatment of antiepileptic drug
Exclusion criteria
1. Gastrointestinal illness impairing absorption 2. renal failure (glomerular filtration rate\<45) 3. liver cirrhosis 4. heart failure (New York Heart Association class III or IV)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pharmacokinetic curve of paracetamol or antiepileptic drug: AUC | 8 hours | sequential measurement of paracetamol or antiepileptic drug (carbamazepine, lamotrigine, phenytoin or valproic acid), AUC |
Countries
Israel